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OSpectra starts revenue integrity before the claim exists. It monitors authorization and payer readiness, then reconciles the approved service, scheduled visit, EVV, documentation, codes, and rates into a prioritized billing worklist with corrections drafted.
Validate that services are supported by an active authorization, eligible date range, approved units, service code, location, provider type, and payer-specific requirements.
Monitor utilization and expiration risk so the team can act before authorized units are exhausted or a renewal window is missed.
Reconcile authorized, scheduled, delivered, documented, coded, and billed care at the visit and claim levels.
Rank revenue exceptions by filing deadline, confidence, operational impact, and dollar value so billers work the right issue first.
Draft corrections, payer follow-ups, supporting evidence, and appeal materials with the exact rule and source evidence attached.
Keep claim submission, authorization changes, write-offs, overrides, and appeals human-reviewed and approval-controlled.
Three connected steps carry revenue from an approved authorization to a filed, defensible claim.
Validate authorization, payer requirements, available units, and filing constraints before revenue is exposed.
Connect the approved service with the schedule, EVV, documentation, codes, rates, and claim.
Prioritize the exception, prepare the correction or appeal, and route it for human approval.
Active, expiring, exhausted, incomplete, or mismatched authorizations organized by service risk.
Completed visits that reconcile across authorization, schedule, EVV, documentation, codes, and rates.
Exceptions ranked by filing window, confidence, and dollars at risk, with a correction prepared.
Recurring rules, denial patterns, follow-up commitments, and evidence requirements by payer.
Billing receives complete visit evidence from Provider Success and relevant client and payer context from Intake. Revenue and authorization risks roll up to Command Center, while recurring issues inform upstream workflows.
Every recommendation links back to the authorization, visit evidence, payer rule, and decision history that support it.
Choose the option that fits what you need right now.